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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198400515
Report Date: 02/19/2025
Date Signed: 02/25/2025 04:50:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/25/2024 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20241125095215
FACILITY NAME:MENDOZA FAMILY CHILD CAREFACILITY NUMBER:
198400515
ADMINISTRATOR:MENDOZA, MIRSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 219-2506
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:14CENSUS: 2DATE:
02/19/2025
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:MENDOZA, MIRSA / LICENSEETIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Licensee did not ensure outdoor areas accessible to day care children were free from animal waste.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Calderon arrived at the above licensed facility for the purpose of delivering findings for the above allegation. LPA met with Licensee Mirsa Mendoza who granted LPA entrance to the facility. LPA disclosed purpose of today's visit.

During today's visit LPA was given a tour of the facility alongside M.Mendoza. During the course of the investigate LPA obtained children roster, observations were conducted and interviews with staff and parents. LPA attempted to conduct children interviews.

Regarding the above allegation: Licensee did not ensure outdoor areas accessible to day care children were free from animal waste. During visit date 12/3/24 LPA observed Staff #1 (S1) cleaning the play area were children play, area was observed clean and free of dog waste, LPA observed no children playing at this time. During visit date 2/19/25, LPA observed no children playing in the backyard, back yard was free of waste. (cont...)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 54-CC-20241125095215
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MENDOZA FAMILY CHILD CARE
FACILITY NUMBER: 198400515
VISIT DATE: 02/19/2025
NARRATIVE
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 LPA observed the front yard and LPA did observe bowl movements in the front play yard area and no children were observed playing in this area during time of visit. Licensee stated children do not go outside until the play areas they will use are cleared up, sanitized and free of any harm. Per Licensee interview on 12/3/24 Licensee informed LPA the facility has two dogs, one dog interacts with the children in care and the children primarily use the back yard as their play area and front yard if not being used. Staff #1 during interview on 12/3/24 informed LPA the elderly dog at the facility does not have bowel movements in the children’s play area. S1 stated it is rare when the elderly dog escapes to the backyard, S1 informed LPA if elderly dog was to pee there it is cleaned up by staff right away and staff makes sure play areas are in order, cleaned and not in danger for the children. (3) out of (3) parents interviewed informed LPA play areas used by the children are well maintained, cleaned and do not observe animal waste in areas.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and a copy of the report and appeal rights were provided to the Licensee Mirsa Mendoza.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2